MEDICARE: YMCA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1790236933
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YMCA

Provider Business Mailing Address
First Line	:	1907 LEONARD AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-4503
Country	:	US
Telephone Number	:	614-359-4001
Fax Number	:

Provider Business Practice Location Address
First Line	:	1907 LEONARD AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-4503
Country	:	US
Telephone Number	:	614-359-4001
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. TONY COLLINS
Credential	:
Telephone Number	:	614-224-1142

Provider Enumeration Date	:	10/24/2016
Last Update Date	:	08/26/2024

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Directions to “YMCA ” Practice Location

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